MURALI GUTHIKONDA MD
NPI 1780624239
Neurological Surgery in Detroit, MI

Active since June 06, 2006PECOS EnrolledAccepts Medicare Assignment
80.59/100
CMS Quality Rating
HARPER PROFESSIONAL BUILDING STE 925, 4160 JOHN R, DETROIT, MI 48201(313) 831-0777(313) 745-2777 Get Directions Write a Review

NPPES record last updated: August 5, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Murali Guthikonda Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MURALI GUTHIKONDA MD (NPI 1780624239) is an individual neurological surgery provider in Detroit, Michigan, licensed in Michigan (4301062110) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Henry Ford Macomb Hospital, and is a graduate of Other (1971).

NPPES Registry Identity

NPI1780624239
Entity TypeIndividualMale
Primary Taxonomy207T00000X
Provider Legal NameMURALI GUTHIKONDACredential: MD
Location AddressHARPER PROFESSIONAL BUILDING STE 925, 4160 JOHN RDetroit, MI 48201
Mailing Address1560 E Maple Road, Suite 400-credentialingTroy, MI 48083-1189 · (877) 486-7978 · Fax (313) 745-2777
Fax(313) 745-2777
Sole ProprietorNo
Medical School CMSOtherGraduated 1971
Enumeration DateJune 6, 2006
Last NPPES UpdateAugust 5, 2016
NPI 1780624239 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
License Licensed in MI · 4301062110
Definition

A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.

HARPER PROFESSIONAL BUILDING STE 925, Detroit, MI 48201

Other Identifiers 1

Medicare PIN0P30630246MI

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Murali Guthikonda Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1153310784
PECOS Enrollment IDI20040510000627
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit, 20-29 minutes 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
48 services38 patients
New patient office or other outpatient visit, 30-44 minutes 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
27 services27 patients
Established patient office or other outpatient visit, 10-19 minutes 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
13 services13 patients
Spinal fusion NAN02
Spinal fusion is a surgical procedure aimed at connecting two or more vertebrae in your spine to reduce pain and improve stability. It involves using a bone graft to cause the vertebrae to grow together, limiting the movement between them. This procedure is often performed to treat conditions like herniated discs or spinal stenosis.
0 services15 patients
Laminectomy or laminotomy (partial removal of spine bones) NAN18
A laminectomy or laminotomy is a surgical procedure that involves removing part of the bone in your spine, specifically the lamina, to alleviate pressure on your spinal cord or nerves. This can help reduce pain and improve mobility if you're suffering from conditions like herniated discs or spinal stenosis.
0 services11 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Henry Ford Macomb Hospital

Acute Care Hospitals · Clinton Township, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230047
Location15855 Nineteen Mile RdClinton Township, MI 48038 · Macomb County
Emergency services Birthing friendly

Harper University Hospital

Acute Care Hospitals · Detroit, MI
1/5 CMS rating
OwnershipProprietary
CMS Certification Number230104
Location3990 John R StreetDetroit, MI 48201 · Wayne County
Emergency services Birthing friendly

Karmanos Cancer Center

Acute Care Hospitals · Detroit, MI
3/5 CMS rating
OwnershipProprietary
CMS Certification Number230297
Location4100 John RDetroit, MI 48201 · Wayne County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

80.59/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality53.55
Promoting Interoperability100
Improvement Activities40
Cost52.03

Reported Quality Measures

Colorectal Cancer Screening
23%396 patients2/55-star benchmark: 88%
Controlling High Blood Pressure
51%51 patients3/55-star benchmark: 91%
Diabetes: Eye Exam
0%39 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
90%39 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
89%942 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
74%545 patients4/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
26%599 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 89% · 380 patients
Patients screened: 91% · 380 patients
94%69 patients4/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
67%358 patients3/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Murali Guthikonda's NPI number?

The NPI number for Murali Guthikonda is 1780624239. It was assigned to this individual provider in the NPPES registry on June 6, 2006.

Where is Murali Guthikonda located?

Murali Guthikonda practices at Harper Professional Building Ste 925 4160 John R, Detroit, MI 48201. The listed phone number is (313) 831-0777.

What is Murali Guthikonda's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is Murali Guthikonda enrolled in Medicare?

Yes. Murali Guthikonda is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Murali Guthikonda accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 4 other insurers list Murali Guthikonda as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Murali Guthikonda affiliated with any hospitals?

According to CMS data, Murali Guthikonda is affiliated with Henry Ford Macomb Hospital, Harper University Hospital and Karmanos Cancer Center.

When was this NPI record last updated?

The NPPES record for Murali Guthikonda was last updated on August 5, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.